HomeMy WebLinkAbout304732 10/31/16 %' ��. CITY OF CARMEL, INDIANA VENDOR: 370872
'�. CHECK AMOUNT: $*****1,200.00*
�" ONE CIVIC SQUARE BEN POLIZZI
:� CARMEL, INDIANA 46032 901 WAVELAND LANE CHECK NUMBER: 304732
9ei,�_._.;�r, GREENWOOD IN 46143
,*oN�• CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340400 101816 1,200.00 CONSULTING FEES
VOUCHER Ni" WARRANT NO. } Prescribed by State Board of Accounts City F ' 201(Rev.1995)
-
BEN POLIZZI ALLOWED ' -pro ACCOUNTS PAYABLE VOUCH>E'
901 WAVELAND LANE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
GREENWOOD, IN 46143 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,200.00 Payee
ON ACCOUNT OF APPROPRIATION FOR
Purchase Order#
Clerk Treasurer Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
101816 43-404.00 $1,200.00 1 hereby certify that the attached invoice(s),or 10/18/16 101816 $1,200.00
1701 101 1701 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, October 24,2016
Linda Harvey
Chief Deputy Clerk Treasurer
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
EXEMIT B
Invoice
Date:
Name of Company:
Address&Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order leo:
Goods Services
Person Providing Date Goods/Services Provided Cost Per Hourly Total
Goods/Services Goods/ (Describe each good/service Item Rate/
Service separately and in detail) Hours
Provided Worked
tol3-la jco X20 ZLA.o u8o
7 LAD
iq���-1��t3 Cov�sul�-ing
tc�f i�r-►c�(��
17, zN�
GRAND TOTAL
V
Signature
—s?
I� ig
Printed Name
NAME :
Sat Sun Mon Tue Wed Thu Fri Week Total
Payroll Week 1 i0 ��a��� 10 lLI f Ito 1015I110 io Icy vp
Time In 01,002 9=0aa gtOo4 q:ooa
Time Out
20=009 �'COQ 3:t�eap 3:0op
Daily Hours
Approved By
Sat Sun Mon Tue Wed Thu Fri Week Total
Payroll Week 2 to/to NO (o 1+►(►o i� /�Z�ico �o ��3 ►�o
Time In q=oo2 1 OOa 9 -00a q:oo2
Time Out
Daily Hours
Approved By
*Round to the nearest 15 minutes. Ex: if you arrive at 3:49 you may put 3:45, if you arrive at 3:55 you must put 4:00
*Total time will be calculated on quarter hour basis. le; 1.75 hours or 2.25 hours
NAME :
Sat Sun Mon Tue Wed Thu Fri Week Total
Payroll Week 1 1011-) /its 1()t1$11(a
Time In 9:o0 a �i=UOa
Time Out STdaj, 3:00V
Daily Hours
Approved By
Sat Sun Mon. Tue Wed Thu Fri Week Total
Payroll Week 2
Time In
Time Out
Daily Hours
Approved By
*Round to the nearest 15 minutes. Ex: if you arrive at 3:49 you may put 3:45, if you arrive at 3:55 you must put 4:00
*Total time will be calculated on quarter hour basis. le; 1.75 hours or 2.25 hours ��